DiraChart MDS item reference
Item Rationale
Use the item-specific response choices below when structured codes apply.
if the interview should not be conducted because the resident is
rarely/never understood or cannot respond verbally, in writing, or using another method,
or an interpreter is needed but not available. Skip to item D0500, Staff Assessment of
Resident Mood (PHQ-9-OV©), unless the assessment being completed is a stand-alone
Part A PPS Discharge; if that is the case, then skip to D0700. Social Isolation.
if the resident interview should be conducted because the resident is at
least sometimes understood verbally, in writing, or using another method, and if an
interpreter is needed, one is available. Continue to item D0150, Resident Mood Interview
(PHQ-2 to 9©).
Symptom Presence. Assessors should proceed to Item D0700, Social Isolation in the case
of resident refusal or unwillingness to participate.
Review what the item asks, how to choose the response, and what should be verified before submission.
1. Interact with the resident using their preferred language. Be sure they can hear you and/or
have access to their preferred method for communication. If the resident appears unable to
communicate, offer alternatives such as writing, pointing, sign language, or cue cards.
2. Determine whether the resident is rarely/never understood verbally, in writing, or using
another method. If rarely/never understood, skip to D0500, Staff Assessment of Resident
Mood (PHQ-9-OV©), unless the assessment being completed is a stand-alone Part A PPS
Discharge; if that is the case, then skip to D0700. Social Isolation.
3. Review Language item (A1110) to determine if the resident needs or wants an interpreter to
communicate with doctors or health care staff (A1110 = 1).
•
If the resident needs or wants an interpreter, complete the interview with an interpreter.
•
Code 0, no: if the interview should not be conducted because the resident is
rarely/never understood or cannot respond verbally, in writing, or using another method,
or an interpreter is needed but not available. Skip to item D0500, Staff Assessment of
Resident Mood (PHQ-9-OV©), unless the assessment being completed is a stand-alone
Part A PPS Discharge; if that is the case, then skip to D0700. Social Isolation.
•
Code 1, yes: if the resident interview should be conducted because the resident is at
least sometimes understood verbally, in writing, or using another method, and if an
interpreter is needed, one is available. Continue to item D0150, Resident Mood Interview
(PHQ-2 to 9©).
and Special Populations
•
Attempt to conduct the interview with ALL residents. This interview is conducted during
the look-back period of the Assessment Reference Date (ARD) and is not contingent
upon item B0700, Makes Self Understood.
•
D0100 serves as a gateway item for the Resident Mood Interview (PHQ-2 to 9©) and
D0500, Staff Assessment of Resident Mood (PHQ-9-OV©). The assessor will complete
the Staff Assessment only when D0100 is coded 0, No. The assessor does not complete
the Staff Assessment based on resident performance during the Resident Mood Interview.
•
If the resident needs an interpreter, every effort should be made to have an interpreter
present for the PHQ-2 to 9© interview. If it is not possible for a needed interpreter to be
present on the day of the interview, code D0100 = 0 to indicate that an interview was not
attempted and complete items D0500-D0600, unless the assessment being completed is a
stand-alone Part A PPS Discharge; if that is the case, then skip to D0700. Social Isolation.
•
Includes residents who use American Sign Language (ASL).
D0100: Should Resident Mood Interview Be Conducted? (cont.)
•
If the resident interview was not conducted within the look-back period of the ARD, item
D0100 must be coded 1, Yes, and the standard “no information” code (a dash “-”) entered
in the resident interview items.
•
Do not complete the Staff Assessment of Resident Mood items (D0500) if the resident
interview should have been conducted but was not done, or if the assessment being
completed is a stand-alone Part A PPS Discharge assessment.
•
Resident refusal or unwillingness to participate in the interview would result in Item
D0100 being coded 1, Yes, and code 9, No response being entered in Column 1.
Symptom Presence. Assessors should proceed to Item D0700, Social Isolation in the case
of resident refusal or unwillingness to participate.
See where this item applies across Nursing Home, Swing Bed, discharge, required-use, OBRA, and program or policy columns.
MDS Item Matrix v1.20.1 v4
MDS Item Matrix v1.20.1 v4
MDS Item Matrix v1.20.1 v4
MDS Item Matrix v1.20.1 v4
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